Appraisal of exercise recommendations for osteoporosis treatment of current guidelines: a systematic review

International guidelines include resistance exercise as part of osteoporosis treatment, although there is no clear agreement on exercise prescription. The aim of this study was to assess methodological quality of clinical guidelines that included exercise as a therapeutic intervention for osteoporos...

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Autores: de Regil-González, Paulina, Olascoaga-Gómez de León, Andrea, Chávez-Arias, Daniel D., Nava-Bringas, Tania I. Nava-Bringas, Macías-Hernández, Salvador I., Cruz-Medina, Eva, Lara-Vázquez, Blanca I., Coronado-Zarco, Roberto
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:México
Institución:UNIVERSIDAD DE GUANAJUATO
Repositorio:Acta Universitaria
Idioma:inglés
OAI Identifier:oai:www.actauniversitaria.ugto.mx:article/767
Acceso en línea:https://www.actauniversitaria.ugto.mx/index.php/acta/article/view/767
Access Level:acceso abierto
Palabra clave:Osteoporosis
exercise
guidelines.
Osteoporosis treatment
Osteoprosis
ejercicio
guías clínicas.
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spelling Appraisal of exercise recommendations for osteoporosis treatment of current guidelines: a systematic reviewEvaluación de ejercicios recomendados para el tratamiento de la osteoporosis con directrices actuales: una revisión sistemáticade Regil-González, PaulinaOlascoaga-Gómez de León, AndreaChávez-Arias, Daniel D.Nava-Bringas, Tania I. Nava-BringasMacías-Hernández, Salvador I.Cruz-Medina, EvaLara-Vázquez, Blanca I.Coronado-Zarco, RobertoOsteoporosisexerciseguidelines.Osteoporosis treatmentOsteoprosisejercicioguías clínicas.International guidelines include resistance exercise as part of osteoporosis treatment, although there is no clear agreement on exercise prescription. The aim of this study was to assess methodological quality of clinical guidelines that included exercise as a therapeutic intervention for osteoporosis, in order to establish the recommendations with the best level of evidence. A systematized review on clinical guidelines for osteoporosis published between 2010 and 2014 was performed. Each guide was assessed by 4 blinded reviewer experts on osteoporosis rehabilitation. Guidelines scored 4.5 or more were selected for data extraction. Intra-class concordance coefficient was obtained for overall guideline assessment. Three guidelines fulfilled our inclusion criteria. After Appraisal of Guidelines for Research & Evaluation II (AGREE-II) assessment, 2 obtained 4.5 or more AGREE-II score. Only exercise recommendations were included. Future clinical guidelines development and updates must enhance adequate methodological quality, considering age, comorbidities and functional assessment in exercise prescription for osteoporosis treatment.Las guías de práctica clínica internacional comprenden ejercicios de resistencia como parte del tratamiento de osteoporosis, aunque no existe un consenso en la prescripción de ejercicio. El objetivo del presente estudio fue evaluar la calidad metodológica de guías de práctica clínica actuales que incluyeran al ejercicio como una intervención terapéutica para el tratamiento de osteoporosis, para establecer recomendaciones con mejor nivel de evidencia. Para ello, se realizó una revisión sistemática de guías de práctica clínica para osteoporosis publicadas entre 2010 y 2014. Cada guía fue evaluada en forma cegada por cuatro revisores expertos en rehabilitación de osteoporosis. Las guías con una puntuación igual o mayor a 4.5 fueron seleccionadas para la extracción de datos. Se calculó el coeficiente de concordancia intra-clase para la evaluación global de la guía clínica. Los resultados señalan que tres guías de práctica clínica cumplieron los criterios de inclusión. Posterior a la evaluación con el sistema Appraisal of Guidelines for Research & Evaluation II (AGREE-II, por sus siglas en inglés), dos guías obtuvieron un puntaje de 4.5 o mayor. Únicamente se incluyeron las recomendaciones sobre ejercicio. Se concluye que el desarrollo y actualización de guías de práctica clínica debe mejorar la calidad metodológica, considerando edad, comorbilidades y evaluación funcional de los pacientes para la prescripción de ejercicio en el tratamiento de osteoporosis.Universidad de Guanajuato2015-10-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionSystematic Review of clinical guidelinesArtículo revisado por parestext/htmlapplication/pdfhttps://www.actauniversitaria.ugto.mx/index.php/acta/article/view/76710.15174/au.2015.767Acta Universitaria; Vol. 25 Núm. 5 (2015); 28-35Acta Universitaria; Vol. 25 No. 5 (2015); 28-352007-96210188-6266reponame:Acta Universitariainstname:UNIVERSIDAD DE GUANAJUATOinstacron:UGTOenghttps://www.actauniversitaria.ugto.mx/index.php/acta/article/view/767/html_85https://www.actauniversitaria.ugto.mx/index.php/acta/article/view/767/pdf_109info:eu-repo/semantics/openAccessoai:www.actauniversitaria.ugto.mx:article/7672024-08-16T21:06:32Z
dc.title.none.fl_str_mv Appraisal of exercise recommendations for osteoporosis treatment of current guidelines: a systematic review
Evaluación de ejercicios recomendados para el tratamiento de la osteoporosis con directrices actuales: una revisión sistemática
title Appraisal of exercise recommendations for osteoporosis treatment of current guidelines: a systematic review
spellingShingle Appraisal of exercise recommendations for osteoporosis treatment of current guidelines: a systematic review
de Regil-González, Paulina
Osteoporosis
exercise
guidelines.
Osteoporosis treatment
Osteoprosis
ejercicio
guías clínicas.
title_short Appraisal of exercise recommendations for osteoporosis treatment of current guidelines: a systematic review
title_full Appraisal of exercise recommendations for osteoporosis treatment of current guidelines: a systematic review
title_fullStr Appraisal of exercise recommendations for osteoporosis treatment of current guidelines: a systematic review
title_full_unstemmed Appraisal of exercise recommendations for osteoporosis treatment of current guidelines: a systematic review
title_sort Appraisal of exercise recommendations for osteoporosis treatment of current guidelines: a systematic review
dc.creator.none.fl_str_mv de Regil-González, Paulina
Olascoaga-Gómez de León, Andrea
Chávez-Arias, Daniel D.
Nava-Bringas, Tania I. Nava-Bringas
Macías-Hernández, Salvador I.
Cruz-Medina, Eva
Lara-Vázquez, Blanca I.
Coronado-Zarco, Roberto
author de Regil-González, Paulina
author_facet de Regil-González, Paulina
Olascoaga-Gómez de León, Andrea
Chávez-Arias, Daniel D.
Nava-Bringas, Tania I. Nava-Bringas
Macías-Hernández, Salvador I.
Cruz-Medina, Eva
Lara-Vázquez, Blanca I.
Coronado-Zarco, Roberto
author_role author
author2 Olascoaga-Gómez de León, Andrea
Chávez-Arias, Daniel D.
Nava-Bringas, Tania I. Nava-Bringas
Macías-Hernández, Salvador I.
Cruz-Medina, Eva
Lara-Vázquez, Blanca I.
Coronado-Zarco, Roberto
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Osteoporosis
exercise
guidelines.
Osteoporosis treatment
Osteoprosis
ejercicio
guías clínicas.
topic Osteoporosis
exercise
guidelines.
Osteoporosis treatment
Osteoprosis
ejercicio
guías clínicas.
description International guidelines include resistance exercise as part of osteoporosis treatment, although there is no clear agreement on exercise prescription. The aim of this study was to assess methodological quality of clinical guidelines that included exercise as a therapeutic intervention for osteoporosis, in order to establish the recommendations with the best level of evidence. A systematized review on clinical guidelines for osteoporosis published between 2010 and 2014 was performed. Each guide was assessed by 4 blinded reviewer experts on osteoporosis rehabilitation. Guidelines scored 4.5 or more were selected for data extraction. Intra-class concordance coefficient was obtained for overall guideline assessment. Three guidelines fulfilled our inclusion criteria. After Appraisal of Guidelines for Research & Evaluation II (AGREE-II) assessment, 2 obtained 4.5 or more AGREE-II score. Only exercise recommendations were included. Future clinical guidelines development and updates must enhance adequate methodological quality, considering age, comorbidities and functional assessment in exercise prescription for osteoporosis treatment.
publishDate 2015
dc.date.none.fl_str_mv 2015-10-16
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Systematic Review of clinical guidelines
Artículo revisado por pares
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://www.actauniversitaria.ugto.mx/index.php/acta/article/view/767
10.15174/au.2015.767
url https://www.actauniversitaria.ugto.mx/index.php/acta/article/view/767
identifier_str_mv 10.15174/au.2015.767
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.actauniversitaria.ugto.mx/index.php/acta/article/view/767/html_85
https://www.actauniversitaria.ugto.mx/index.php/acta/article/view/767/pdf_109
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Universidad de Guanajuato
publisher.none.fl_str_mv Universidad de Guanajuato
dc.source.none.fl_str_mv Acta Universitaria; Vol. 25 Núm. 5 (2015); 28-35
Acta Universitaria; Vol. 25 No. 5 (2015); 28-35
2007-9621
0188-6266
reponame:Acta Universitaria
instname:UNIVERSIDAD DE GUANAJUATO
instacron:UGTO
instname_str UNIVERSIDAD DE GUANAJUATO
instacron_str UGTO
institution UGTO
reponame_str Acta Universitaria
collection Acta Universitaria
repository.name.fl_str_mv
repository.mail.fl_str_mv
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